Deysher, Mark Edward

Deysher, Mark Edward is an individual health care provider with primary practice located at 151 West Lake Street , Fort Collins CO 80523-8031. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Deysher, Mark Edward can be contacted via phone (970) 491-1719.

Contact Information

Primary practice address
151 West Lake Street Fort Collins CO 80523-8031
Phone: (970) 491-1719
Fax: (970) 491-5306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0010240 Colorado

Profile Details

NPI number 1467449843
LBN Legal business name Deysher, Mark Edward
Credentials MPT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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